Abstract
A recent article1and editorial2inThe Journalexplored epidemiology and ethical implications of exporting a hazardous product beyond borders of United States. In this case, product was turtles. Another example of such activity is marketing and promotion of cigarettes in developing countries by US manufacturers and their foreign subsidiaries. The Surgeon General has called cigarette smoking the chief, single, avoidable cause of death in our society and most important public health problem of our time.3In addition, cigarette smoking is well on its way to becoming number one health problem in Third World.4 The role of US manufacturers in foreign cigarette consumption may involve exportation of US-made cigarettes or exportation of unmanufactured tobacco for cigarette production outside United States. In 1984, US manufacturers exported 56.5 billion cigarettes and 246,156 tons of unmanufactured tobacco.5
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